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Journal of Medical Education

Abstract

Introduction: The global demand for nurse anesthetists has increased significantly, yet training and assessment in Taiwan lack standardization. Traditional paper-based evaluations are inefficient and inconsistent, creating barriers to competency-based education. This study examines user satisfaction with an electronic evaluation system incorporating Entrustable Professional Activities (EPAs) for student nurse anesthetist assessment. Methods: A 2×2 factorial design was used to compare traditional paper-based assessment with an electronic EPA-based system. A total of 32 participants, including nurse anesthetist trainees and evaluators, were recruited from Cathay General Hospital. Participants were divided into two groups based on their role (evaluator or trainee) and assessment method (paper-based or electronic). Satisfaction was measured across three domains: system design, efficiency, and effectiveness, using a validated questionnaire. Statistical analysis, including two-way ANOVA, was conducted to assess the main effects of evaluation methods and user roles on satisfaction. Results: The electronic EPA-based assessment system demonstrated significantly higher user satisfaction across all domains compared to the traditional paper-based system (p < 0.05). The subgroup analysis confirmed that the respondent's role (evaluator vs. trainee) did not significantly impact satisfaction levels. All participants reported improved satisfaction with system efficiency, usability, and standardization. Conclusions: Implementing an EPA-based electronic evaluation system improves assessment efficiency and usability in student nurse anesthetist education. While this study focuses on satisfaction outcomes, future research should investigate whether the system objectively enhances training effectiveness and competency development.

First Page

41

Last Page

52

DOI

10.6145/jme.202503_29(1).0001

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